AHRQ Search | Home Page

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet

psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent

April 10, 2024 - Study Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. Citation Text: Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…

Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. | PSNet

psnet.ahrq.gov/issue/using-targeted-solutions-tool-improve-hand-hygiene-compliance-associated-decreased-health

August 18, 2021 - Study Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. Citation Text: Shabot M, Chassin MR, France A-C, et al. Using the Targeted Solutions Tool® to Improve Hand Hygiene Compliance Is Associated with Decr…

Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. | PSNet

psnet.ahrq.gov/issue/analysis-variation-between-diagnosis-admission-vs-discharge-and-clinical-outcomes-among

June 22, 2022 - Study Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults with possible bacteremia. Citation Text: Dregmans E, Kaal AG, Meziyerh S, et al. Analysis of variation between diagnosis at admission vs discharge and clinical outcomes among adults…

Employee silence in health care: charting new avenues for leadership and management. | PSNet

psnet.ahrq.gov/issue/employee-silence-health-care-charting-new-avenues-leadership-and-management

May 04, 2022 - Commentary Employee silence in health care: charting new avenues for leadership and management. Citation Text: Montgomery A, Lainidi O, Johnson J, et al. Employee silence in health care: Charting new avenues for leadership and management. Health Care Manage Rev. 2023;48(1):52-60. doi:10.…

The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. | PSNet

psnet.ahrq.gov/issue/application-strong-matrix-management-and-pdca-cycle-management-severe-covid-19-patients

March 24, 2019 - Commentary The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Citation Text: Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Crit Care. 2020;24(1):157. d…

How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. | PSNet

psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health

March 15, 2016 - Study How hospitals select their patient safety priorities: an exploratory study of four Veterans Health Administration hospitals. Citation Text: George J, Parker VA, Sullivan JL, et al. How hospitals select their patient safety priorities. Health Care Manag Rev. 2020;45(4):E56-E67. doi:…

Safety huddles to proactively identify and address electronic health record safety. | PSNet

psnet.ahrq.gov/issue/safety-huddles-proactively-identify-and-address-electronic-health-record-safety

January 23, 2019 - Study Safety huddles to proactively identify and address electronic health record safety. Citation Text: Menon S, Singh H, Giardina TD, et al. Safety huddles to proactively identify and address electronic health record safety. J Am Med Inform Assoc. 2017;24(2):261-267. doi:10.1093/jamia/…

Adverse events involving telehealth in the Veterans Health Administration. | PSNet

psnet.ahrq.gov/issue/adverse-events-involving-telehealth-veterans-health-administration

October 26, 2022 - Review Adverse events involving telehealth in the Veterans Health Administration. Citation Text: Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002. Copy …

Electronic health record reviews to measure diagnostic uncertainty in primary care. | PSNet

psnet.ahrq.gov/issue/electronic-health-record-reviews-measure-diagnostic-uncertainty-primary-care

August 20, 2018 - Study Electronic health record reviews to measure diagnostic uncertainty in primary care. Citation Text: Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912. …

Collective intelligence meets medical decision-making: the collective outperforms the best radiologist. | PSNet

psnet.ahrq.gov/issue/collective-intelligence-meets-medical-decision-making-collective-outperforms-best-radiologist

August 17, 2016 - Study Classic Collective intelligence meets medical decision-making: the collective outperforms the best radiologist. Citation Text: Wolf M, Krause J, Carney PA, et al. Collective intelligence meets medical decision-making: the collective outperforms the best ra…

Bedside computer vision—moving artificial intelligence from driver assistance to patient safety. | PSNet

psnet.ahrq.gov/issue/bedside-computer-vision-moving-artificial-intelligence-driver-assistance-patient-safety

December 01, 2021 - Commentary Emerging Classic Bedside computer vision—moving artificial intelligence from driver assistance to patient safety. Citation Text: Yeung S, Downing L, Fei-Fei L, et al. Bedside Computer Vision - Moving Artificial Intelligence from Driver Assistance to P…

Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. | PSNet

psnet.ahrq.gov/issue/changes-safety-and-teamwork-climate-after-adding-structured-observations-patient-safety

August 20, 2018 - Study Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Citation Text: Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Pa…

Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. | PSNet

psnet.ahrq.gov/issue/deficiencies-emergency-department-care-patient-who-died-suicide-john-cochran-division-va-st

July 26, 2023 - Book/Report Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. Citation Text: Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division…

20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. | PSNet

psnet.ahrq.gov/issue/20-years-after-err-human-bibliometric-analysis-iom-reports-impact-research-patient-safety

July 15, 2020 - Review 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. Citation Text: St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient …

An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? | PSNet

psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating-knowledge-sharing-and

July 02, 2008 - Study An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? Citation Text: Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing …

Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. | PSNet

psnet.ahrq.gov/issue/postsurgical-prescriptions-opioid-naive-patients-and-association-overdose-and-misuse

October 19, 2022 - Study Classic Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. Citation Text: Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with ov…

Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. | PSNet

psnet.ahrq.gov/issue/validation-electronic-trigger-measure-missed-diagnosis-stroke-emergency-departments

May 18, 2022 - Study Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. Citation Text: Vaghani V, Wei L, Mushtaq U, et al. Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments. J Am Med Inform Assoc. 2021;28(…

How physicians think: a case-based diagnostic simulation exercise. | PSNet

psnet.ahrq.gov/issue/how-physicians-think-case-based-diagnostic-simulation-exercise

August 14, 2019 - Study How physicians think: a case-based diagnostic simulation exercise. Citation Text: Gupta A, Quinn M, Saint S, et al. The variability in how physicians think: a casebased diagnostic simulation exercise. Diagnosis (Berl). 2021;8(2):167-175. doi:10.1515/dx-2020-0010. Copy Citation …

The delivery of safe and effective test result communication, management and follow-up. | PSNet

psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow

August 19, 2020 - Study The delivery of safe and effective test result communication, management and follow-up. Citation Text: Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.170…

The potential of artificial intelligence to improve patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/potential-artificial-intelligence-improve-patient-safety-scoping-review

March 09, 2022 - Review Classic The potential of artificial intelligence to improve patient safety: a scoping review. Citation Text: Bates DW, Levine DM, Syrowatka A, et al. The potential of artificial intelligence to improve patient safety: a scoping review. NPJ Digit Med. 2021…

Search AHRQ

Results